Tags

Type your tag names separated by a space and hit enter

Small bowel obstruction with multiple perforations post chestnut ingestion.
BMJ Case Rep. 2019 Feb 03; 12(2)BC

Abstract

Phytobezoars are a rare cause of small bowel obstruction (SBO), which consists of vegetable matter such as seeds, skins, fibres of fruit and vegetables that have solidified. We present the case of a 61-year-old man with no previous surgery who presented with central abdominal pain, nausea and vomiting. An abdominal CT scan demonstrated SBO with a transition point in the left anterior abdomen. He proceeded to a laparoscopy, which revealed multiple perforations throughout the small bowel, from the proximal jejunum to the terminal ileum. Laparotomy was performed, and undigested chestnuts were milked out through the largest perforation and the perforations were oversewn. While obstruction due to phytobezoars is rare, this case demonstrates the importance of considering small bowel trauma and perforation due to phytobezoars and highlights the need for close inspection of the entire gastrointestinal tract for complications in the setting of phytobezoar-related bowel obstruction.

Authors+Show Affiliations

Department of General Surgery, Northern Health, Epping, Victoria, Australia.Department of General Surgery, Northern Health, Epping, Victoria, Australia.Department of General Surgery, Northern Health, Epping, Victoria, Australia.Department of General Surgery, Northern Health, Epping, Victoria, Australia.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

30718266

Citation

Ravindra, Raevin K., et al. "Small Bowel Obstruction With Multiple Perforations Post Chestnut Ingestion." BMJ Case Reports, vol. 12, no. 2, 2019.
Ravindra RK, Das A, Chew GL, et al. Small bowel obstruction with multiple perforations post chestnut ingestion. BMJ Case Rep. 2019;12(2).
Ravindra, R. K., Das, A., Chew, G. L., & Daniel, E. (2019). Small bowel obstruction with multiple perforations post chestnut ingestion. BMJ Case Reports, 12(2). https://doi.org/10.1136/bcr-2018-227999
Ravindra RK, et al. Small Bowel Obstruction With Multiple Perforations Post Chestnut Ingestion. BMJ Case Rep. 2019 Feb 3;12(2) PubMed PMID: 30718266.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Small bowel obstruction with multiple perforations post chestnut ingestion. AU - Ravindra,Raevin K, AU - Das,Atandrila, AU - Chew,Grace L, AU - Daniel,Eric, Y1 - 2019/02/03/ PY - 2021/02/03/pmc-release PY - 2019/2/6/entrez PY - 2019/2/6/pubmed PY - 2019/5/29/medline KW - gastrointestinal surgery KW - general surgery KW - surgery JF - BMJ case reports JO - BMJ Case Rep VL - 12 IS - 2 N2 - Phytobezoars are a rare cause of small bowel obstruction (SBO), which consists of vegetable matter such as seeds, skins, fibres of fruit and vegetables that have solidified. We present the case of a 61-year-old man with no previous surgery who presented with central abdominal pain, nausea and vomiting. An abdominal CT scan demonstrated SBO with a transition point in the left anterior abdomen. He proceeded to a laparoscopy, which revealed multiple perforations throughout the small bowel, from the proximal jejunum to the terminal ileum. Laparotomy was performed, and undigested chestnuts were milked out through the largest perforation and the perforations were oversewn. While obstruction due to phytobezoars is rare, this case demonstrates the importance of considering small bowel trauma and perforation due to phytobezoars and highlights the need for close inspection of the entire gastrointestinal tract for complications in the setting of phytobezoar-related bowel obstruction. SN - 1757-790X UR - https://www.unboundmedicine.com/medline/citation/30718266/Small_bowel_obstruction_with_multiple_perforations_post_chestnut_ingestion_ L2 - https://casereports.bmj.com/cgi/pmidlookup?view=long&pmid=30718266 DB - PRIME DP - Unbound Medicine ER -